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Is Prevalence of Hypertension Increasing in First-Ever Stroke Patients?: A Hospital-Based Cross-Sectional Study

Abhishek Pathak1, Pradeep Kumar2, Awadh Kishor Pandit2

  • 1Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.

Annals of Neurosciences
|April 20, 2019
PubMed

Insights

Hypertension prevalence increased in first-ever stroke patients in India. This study found a higher proportion of hypertension in 2012-2014 compared to 1998-2011, highlighting a critical risk factor for stroke.

Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Stroke is a significant cause of disability and economic loss.
  • Hypertension is a primary risk factor for stroke.
  • Indian studies indicate a high stroke prevalence of 471.58 per 100,000 population.

Purpose of the Study:

  • To determine the prevalence of hypertension in patients experiencing their first stroke.
  • To compare current hypertension rates in stroke patients with historical data.

Main Methods:

  • A hospital-based cross-sectional study was conducted at the All India Institute of Medical Sciences (AIIMS), New Delhi.
  • Consecutive patients admitted to the Neurology ward between July 2012 and January 2014 were enrolled.
  • Data were collected using a computerized record system for stroke unit admissions.

Main Results:

  • The study included 260 patients: 194 (74.6%) with ischemic stroke and 66 (25.4%) with hemorrhagic stroke.
  • Hypertension was identified in 169 (65%) of the recruited patients.
  • Comparison with a previous registry (1998-2011) of 2,628 patients showed hypertension in 1,503 (57.2%).

Conclusions:

  • The proportion of hypertension among first-ever stroke patients at AIIMS has increased between 2012-2014 compared to 1998-2011.
  • This suggests a potential rise in hypertension as a contributing factor to stroke incidence in the region.
  • The findings underscore the importance of hypertension management in stroke prevention strategies.
Abstract

Keywords:
Cardiovascular diseaseCerebral infarctionHypertensionRegistriesRisk factorStrokeStroke epidemiology

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